Provider Demographics
NPI:1306492269
Name:TIRADO, VALERIE MICHELE
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:MICHELE
Last Name:TIRADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 TULANE AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-7454
Mailing Address - Country:US
Mailing Address - Phone:504-454-3740
Mailing Address - Fax:504-454-3738
Practice Address - Street 1:2601 TULANE AVE STE 610
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7454
Practice Address - Country:US
Practice Address - Phone:504-454-3740
Practice Address - Fax:504-454-3738
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator